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Why do I feel a pulse in my testicle?

It occurs when the spermatic cord that holds the testicle gets twisted. The spermatic cord contains blood vessels and passageways for sperm, and when it is twisted, blood flow to the testicle is reduced or blocked.

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Testicular torsion the most common pediatric emergency of the genitourinary tract. It occurs when the spermatic cord that holds the testicle gets twisted. The spermatic cord contains blood vessels and passageways for sperm, and when it is twisted, blood flow to the testicle is reduced or blocked. The reduced blood flow causes sudden and often severe pain and swelling. If the blood supply is cut off for too long then the testicle will suffer permanent damage. This condition usually happens to only one testicle, but can happen to both. It usually affects babies up to 1 year of age and children 12 to 18 years of age.

Symptoms

Testicular pain (acute onset or intermittent)

Swollen, red, tender scrotum

Enlarged testicle

Abnormal position of testicle (testicles that appear to hang a bit higher than usual)

Fever

Abdominal pain

Nausea or vomiting

Symptoms in newborns

Possible absent testicle Firm, painless scrotal mass – either enlarged or atrophied Possible acute inflammation – swollen, erythematous or blue discolored in venous engorgement and tender hemi-scrotum Testicular torsion should always be suspected in a male patient with severe, sudden-onset testicular pain. The most important thing to know about testicular torsion is that it is an emergency that must be treated immediately. The time from the start of symptoms until treatment is the most important factor in being able to save the testicle. The longer someone waits to seek treatment, the greater the risk of permanent injury. If treated within 6 hours of the start of pain, there is more than a 90% chance of saving the testicle. If treated after 24 hours of pain, there is less than 10% chance of saving the testicle.

Treatment

Testicular torsion is a medical emergency and should be treated upon suspicion within 6 hours of the onset of symptoms to prevent loss of the testis.

Immediate surgical exploration of the testicle with reduction (untwisting) and orchidopexy

Orchidopexy (fixation) of the contralateral side is recommended

Manual detorsion may be attempted to possibly buy time and relieve symptoms, but is not a replacement for surgical exploration If surgery is not possible within the recommended window of intervention: Trial of conservative maneuver: turn the testicle towards the lateral direction (left testicle → clockwise; right testicle → counterclockwise). Still perform surgical exploration as a trial of treatment when outside the preferred window of treatment Because of the risk of significant consequences for (often young) patients, surgical exploration of the testicle is recommended in cases of suspected testicular torsion.

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Last Updated: September 26th, 2022

Zinc is an essential mineral forming a component of more than 300 enzymes in the body with functions including wound healing, immune system function, building proteins and DNA, fertility in adults and growth in children. Zinc is also needed for maintaining the senses of smell and taste. A deficiency in zinc can lead to stunted growth, diarrhea, impotence, hair loss, eye and skin lesions, impaired appetite, and depressed immunity. Conversely, consuming too much zinc can disrupt the absorption of copper and iron, as well as creating large amounts of toxic free radicals. It is easier to over-consume zinc from animal foods and supplements, from which it is more readily absorbed. Vegans and vegetarians who primarily consume plant foods may have difficulty getting enough zinc, as zinc is not as bioavailable in plant foods as in animal foods. This is partly because beans and legumes contain phytates which can inhibit absorption. Despite this, plant foods are still a good source of zinc and there is no reason to eat meat or take a supplement. The current daily value (DV) for zinc is 11mg, but vegetarians and vegans should aim to eat 30mg a day. Vegetables high in zinc include shiitake mushrooms, green peas, spinach, lima beans, lentil sprouts, asparagus, beet greens, broccoli, okra, and sweet corn. Below is a list of high zinc vegetables ranked by common serving size, for more see the list of high zinc foods for vegans and vegetarians, high zinc fruits, and the nutrient ranking of 200 vegetables high in zinc.

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